Toxicology tests done by the FBI have confirmed that three American tourists found dead this spring in the Dominican Republic died of natural causes, the U.S. State Department said.
The results were consistent with the findings of local authorities, according to a statement from the State Department on Friday.
Miranda Schaupp-Werner, 41, from Pennsylvania, was found dead at the Luxury Bahia Principe Bouganville hotel on May 25.
Edward Nathaniel Holmes, 63, and Cynthia Ann Day, 49, a couple from Maryland, were found dead in their hotel room at the Grand Bahia Principe La Romana Resort in San Pedro de Macoris on May 30.
Steven Bullock, a family spokesperson for the Day and Holmes families, said the families have yet to hear any updates from authorities regarding their loved one's deaths.
"The Day and Holmes families have not been provided with any information from the FBI or the Dominican Republic Authorities regarding the deaths," Bullock said in a statement to ABC News. "The only information that has been received by the families is what is being reported in the media. Our investigation is continuing, and we will not have any further comment until we receive the results of our investigation. Thank you."
The FBI was assisting in the probe at the neighboring resorts in the Caribbean nation.
Their deaths were among the first of at least 11 Americans to die in the country in recent months, setting off a flurry of panic as to whether it was safe to visit the Dominican Republic.
The U.S. State Department said back in June that, despite the deaths, it had not seen an "uptick" in fatal incidents.
The spokesperson said that more than 2.7 million U.S. citizens visit the Dominican Republic each year and, as in most countries, "the overwhelming majority travel without incident."
Schaup-Werner died of respiratory failure and pulmonary edema, according to the hotel. An autopsy performed on Holmes and Day determined that they died of the same causes, according to the Dominican Republic National Police.
The families of the three Americans have been informed of the FBI toxicology reports.
ABC News' Stephanie Wash contributed to this report.